2025-2026 Product Program Family Agreement Form

2025-2026 Product Program Family Agreement Form

This form must be completed by the parent/caregiver for a Girl Scout to participate in the Girl Scouts in the Heart of Pennsylvania’s Product Programs. Order cards and other materials will not be distributed until this form has been received by the Troop Leader.
Girl Scout Name*

First NameLast Name
Troop #*
Parent/Caregiver #1 Name:*

First NameLast Name
Relationship to Girl Scout*
Parent/Caregiver #2 Name

First NameLast Name
Relationship to Girl Scout
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Please enter a valid phone number
Parent/Caregiver Email:*
example@example.com
Troop Leader Email:Please ensure this is the troop leader email address as a copy of your agreement will be emailed to your troop leader.*
example@example.com
My Girl Scout has my permission to participate in the 2025-2026 Girl Scouts in the Heart of Pennsylvania (GSHPA) Product Programs (Fall Product and/or Cookies). By allowing my Girl Scout to participate, my Girl Scout and I agree to:
My Girl Scout has my permision to participate in the 2025-2026 Girl Scouts in the Heart of Pennsylvania (GSHPA) Product Programs (Fall Product and/or Cookies). By allowing my Girl Scout to participate, my Girl Scout and I agree to:
- Ensure my Girl Scout is registered for the 2025-2026 Girl Scout Membership year;
- Ensure my words and actions abide by the Girl Scout Promise and Girl Scout Law at all times;
- Maintain a valid email address for all program communications and approved GSUSA online selling platforms;
- Ensure my Girl Scout is participating in Product Programs in accordance with all GSHPA Product Program guidelines (dates, locations, prices, etc.);
- Ensure my Girl Scout is selling products at the designated price point and agree not to alter prices;
- Ensure my Girl Scout has adult supervision and guidance at all times while participating in the Product Programs;
- Pick up product and rewards from my troop volunteer at the time, date, and location designated by my troop;
- Ensure that all Fall Product and/or Cookie orders are delivered to customers within one (1) week of receipt. Failure to do so can result in future participation restrictions;
- Ensure all payments for products are submitted to the troop by the deadlines established by the troop volunteers.
By entering my name below, I understand that only a Girl Scout registered for the 2025-2026 Girl Scout year is permitted to sell Girl Scout products. I understand that products cannot be returned to Girl Scouts in the Heart of Pennsylvania for any reason. I understand and agree that if I do not pay for the products ordered and accepted by my Girl Scout, Girl Scouts in the Heart of Pennsylvania may take collection action against me. I will be responsible for any and all costs incurred, including attorney fees, court costs, and interest.*
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2025-2026 Product Program Family Agreement Form

My Girl Scout has my permission to participate in the 2025-2026 Girl Scouts in the Heart of Pennsylvania (GSHPA) Product Programs (Fall Product and/or Cookies). By allowing my Girl Scout to participate, my Girl Scout and I agree to: